Curriculum

Young Doc

Shaping the Future of Family Medicine

As a leader in Family Medicine, our four year Family Medicine Residency Program offers residents the personal, intimate, small-team experience within our five clinics, plus all the benefits of a large, clinical system. Our patient-centered clinical team of practicing faculty, residents and staff see about 200,000 visits per year. We offer all our residents experience in:

  • Family-centered, full-spectrum maternity care (cesarean section, pre-pregnancy counseling, prenatal care, delivery services and newborn care)
  • Reproductive Health (RHEDI, abortion training optional)
  • Women’s health
  • Pediatric & adolescent care
  • Behavioral health
  • Geriatric care
  • Acupuncture
  • Integrative medicine
  • Osteopathy
  • Palliative Care
  • Podiatry
  • Sports medicine
  • Research department with expertise in communication, educational, clinical translational and evidence-based research
  • Balance of tertiary care training and educational experiences in both community and rural settings
  • Collaborative relationship with faculty

Anticipated Rotations | Class of 2020

First Year (PGY1)

Family Medicine Behavioral Health 1 block 3 1/2-days of clinic/week
Orthopedics/Sports Medicine 1 block 2 1/2-days of clinic/week
Emergency Medicine 1 block 1/2 day of clinic/week
Family Medicine Inpatient Service 3 blocks 1/2 day of clinic/week
Obstetrics (OHSU OB service) 1 block 2 1/2-days of clinic/week
General Medicine (OHSU Medicine Service) 1 block 1/2 day of clinic/week
Rural Surgery (Ontario, OR) 1 block 1/2-days of clinic/rotation
Newborn Nursery/NICU 1 block 1/2 day of clinic/week
Family Medicine Maternity/Newborn 1 block 1/2 day of clinic/week
Inpatient Pediatrics (OHSU Pediatrics) 1 block 1/2 day of clinic/week
Family Medicine Intensive  4 weeks 4 1/2 days of clinic/week
Leadership Longitudinal Curriculum    
Patient Centered Primary Care Home Longitudinal Curriculum    

Behavioral Health Outpatient

Residents on this rotation will learn the basics of behavioral healthcare in the primary care setting. They will have the opportunity to work in the psychiatric consult clinic based at one of our Family Health centers Residents will have experience with addiction medicine as well as working with behavioral health specialists in the Family Health Centers. There is dedicated time for behavioral health readings to support the other experiences on this rotation.

Orthopedic/Sports Medicine Outpatient

Residents will spend time with family medicine faculty in their sports medicine clinic Residents will also attend orthopedic specialty clinics It is during this month that residents also begin their longitudinal leadership role by attending family medicine departmental meetings.

Emergency Medicine

Interns will spend up to 16 shifts a month in the emergency department at Oregon Health & Science University. During this rotation residents will participate in the longitudinal leadership curriculum and gain reproductive health experience at Planned Parenthood.

Family Medicine Inpatient Service

This service admits patients from all of our family medicine clinics, as well as from local safety net clinics We take care of all adults and children Interns are paired with a senior family medicine resident Interns are expected to manage at least five patients independently.

Obstetrics - Oregon Health & Science University OB Service

Interns will function as an OB intern on this service, developing skills appropriate for low risk labor and delivery management.

General Medicine, Oregon Health & Science University

Interns will be paired with a family medicine, senior resident, while caring for internal medicine patients under the supervision of General internal medicine faculty.

Rural Surgery

This experience occurs in the town of Ontario Oregon, a town of about 20,000 people. During this experience interns function as a partner to the general surgeons. This will include evaluating patients in the emergency room, office and hospital. Residents will first assist in the OR and with upper and lower G.I. endoscopy.

Newborn Intensive Care Unit

Interns will function as a pediatric intern in the neonatal intensive care unit at OHSU. They will participate in newborn resuscitation, as well as management of newborns admitted to the NICU.

Family Medicine Maternity/Newborn

Interns will be paired with a second year Family Medicine resident. They will manage labor and delivery of patients from our family medicine clinics, as well as some local safety net clinics.

Inpatient pediatrics

Interns will function as a pediatrics intern on the inpatient wards at Doernbecher Children’s Hospital There they will care for general pediatric as well as pediatric subspecialist patients.

Family Medicine Intensive Outpatient

Family medicine intensive blocks are one to two week blocks throughout the year. During this time interns are relieved of inpatient responsibility We focus on skill building for the intern class The focus is on procedural skills, outpatient management skills and team building Residents will start setting residency and career goals This will include developing individual learning plan, beginning discussions of an area of concentration and capstone projects.

Leadership Longitudinal Curriculum

During the leadership blocks, residents from one clinic will focus on developing leadership skills and understanding leadership opportunities within the department of family medicine This curriculum is structured to be primarily facilitated small group learning A group of four interns will gather every other week for facilitated discussion with a faculty member from the department of family medicine On the other weeks, residents will have time blocked for independent study, reading and reflection activities.

Patient Centered Primary Care Home Longitudinal Curriculum

This curriculum is structured in a similar fashion to that described above for leadership During these blocks, a small group of residents will focus on understanding the principles of the patient centered primary care home, as well as evaluating their own practices as part of a patient centered primary care home.

Second Year (PGY2)

Family Medicine Inpatient Service 1 block 2 1/2-days of clinic/week
Geriatrics 1 block 4 1/2-days of clinic/week
Family Medicine Maternity/Newborn 1 block 2 1/2-days of clinic/week
Social Medicine 1 block 1/2 day of clinic/week
Emergency Medicine 1 block 4 1/2-days of clinic/week
Gynecology at Emmanual 1 block 3 1/2-days of clinic/week
Outpatient Pediatrics 1 block 3 1/2-days of clinic/week
Medical ICU at Veterans' Affairs 1 block 1 to 2 1/2-days of clinic/week
Elective (may be out of state) 1 block 3 1/2-days of clinic/week
Night Team 1 block 2 1/2-days of clinic/week
Rural Family Medicine (John Day or Enterprise, OR) 2 blocks Continuity clinic before & after rural experience
Family Medicine Intensive  4 weeks  5 1/2-days of clinic/ week
Information Management Longitudinal Curriculum    

Family Medicine Inpatient Service

Second year residents begin functioning as leaders of clinical teams while supervising an intern and a sub intern on one of our family medicine inpatient teams.

Geriatrics Outpatient

Residents will be engaged in experiential learning within the nursing home setting and hospice while gaining an understanding of the care of elderly patients.

Family Medicine Maternity/Newborn

Second-year residents will supervise an intern, while they provide care for the maternity care patients from our practices and local safety net clinics. The team also cares for newborns from this population.

Social Medicine

This rotation provides the opportunity for residents to experience how social and economic conditions impact health and the practice of medicine.

Emergency Medicine

Second year residents will practice in the OHSU emergency department. Residents cover for night shifts per week, which allows for maximum independence.

Gynecology at Emmanuel

Residents will cover labor and delivery at a busy community Hospital, GYN clinic and ER consultations for common GYN problems. Residents will participate in Colposcopy and LEEP clinic at our Gabriel Park, family health Center once a week.

Outpatient Pediatrics

Residents will see children in the setting of a local safety net clinic which caters primarily to a Hispanic population.

Medical Intensive Care Unit

Residents gain experience in the care of critically ill adults during this rotation at the Portland Veteran’s Affairs hospital which is adjacent to OHSU.

Elective Outpatient

This rotation may be taken away from OHSU. Residents are expected to use elective time to work on areas of special interest or to reinforce areas of need.

Night Team

Second year residents will do 4 nights per week of night float coverage. They will be paired with a third year resident during this time. The team will cover all four of the Family Medicine inpatient services.

Rural Family Medicine (John Day or Enterprise, OR) 2 blocks

Residents will spend 2 blocks in a practice in small town Oregon. You will be an integral member of the practice and will participate in clinic, ED coverage, hospital rounds, maternity care, C/S, endoscopy as well as practice management and community participation.

Family Medicine Intensive

Family medicine intensive blocks are one to two week blocks throughout the year. During the intensive blocks of the second year, residents will cover the inpatient service for half the time. The other half of the time will be spent in group didactics and clinic. Residents will continue to refine their individual learning plan and finalize their area of concentration and capstone project.

Information Management Longitudinal Curriculum

Information management longitudinal curriculum follows the same general template as the other longitudinal areas. This curriculum focuses on developing lifelong learning skills, and management of data from the resident’s clinical practice.


Third Year (PGY3)

Family Medicine Inpatient Service 1 block 2 1/2-days clinic/ week
Night Team 1 block 1 to 6 1/2-days  of clinic/week
Orthopedics/Sports Medicine 1 block 2 1/2-days of clinic/week
Surgery/Vasectomy training 1 block 4 1/2-days of clinic/week
Elective (one may be out of state) 1 block 2 to 6 1/2-days of clinic/week
General Medicine (OHSU Medicine service) 1 block 1 1/2-day of clinic/week
Obstetrics at Emmanuel 1 block 2 1/2-days of clinic/ per week
Pediatrics-Emergency Medicine 1 block 5 1/2-days of clinic/week
Palliative Care 1 block 5 1/2-days of clinic/week
Subspecialities/Dermatology 1 block 6 1/2-days of clinic/week
Family Medicine Intensive 4 weeks 5 1/2-days of clinic/week
Area of Concentration 2 blocks 5 1/2-days of clinic/week
Behavioral Health/Social Medicine Longitudinal Curriculum    
Geriatrics Longitudinal Curriculum    
 

Family Medicine Inpatient Service

Third-year residents will function as leaders of clinical teams while supervising an intern and a sub intern on one of our family medicine inpatient teams. In addition, they will be responsible for managing sign-out rounds and teaching rounds.

Night Team

Third-year residents will supervise a second year resident as the team cares for all four inpatient services four nights per week.

Orthopedics/Sports Medicine

Residents will gain further experience in caring for patients presenting to the various sports medicine clinics. We’ll have more opportunities to participate in working with local sports teams as well.

Surgery/Vasectomy training

Residents will spend one half day per week in the surgical breast clinic evaluating women with breast masses. Residents will spend one half day a week doing minor procedures with general surgery faculty. Residents will spend one day a week in a minor injury clinic. Residents will spend one half day per week performing vasectomies with family medicine faculty.

Elective

Electives offer residents the opportunity to further modify their residency experience and to address areas of interest or deficiency outside of their area of concentration.

General Medicine (OHSU Medicine service)

third-year residents will supervise a family medicine intern, while caring for adults and patients. They will work with internal medicine attending faculty.

Obstetrics at Emmanuel

Residents will share call with second year OB residents caring for high-risk maternity patients and performing cesarean sections.

Pediatrics - Emergency Medicine

In a new rotation for our residency, residents will see children to present to be pediatric department at University Hospital. They will be supervised by a pediatric emergency physician.

Palliative Care

In a new rotation for our residency, residents will learn the basics of palliative care in the inpatient and outpatient setting. This will include utilizing community resources, and understanding end-of-life medications.

Dermatology

During the dermatology rotation residents will see patients referred to the general dermatology clinic at University Hospital. They will be supervised by staff dermatologists.

Family Medicine Intensive

Family medicine intensive blocks are one to two week blocks throughout the year. During the intensive blocks of the Third year, residents will cover the inpatient service for half the time. The other half of the time will be spent in group didactics and clinic. Residents will be reporting on progress on their capstone projects.

Area of Concentration 2 blocks

These are modifiable blocks of time that unlike electives are meant to have a particular focus that will be sustained over the last 2 years of the residency. This time is also to be used in making progress on capstone projects.

Behavioral Health/Social Medicine Longitudinal Curriculum

This longitudinal block is structured in the same way as in previous years. The focus will be on reinforcing family medicine behavioral techniques and understanding how community resources can be used in the Patient Centered Primary Care Home.

Geriatrics Longitudinal Curriculum

This longitudinal block is structured in the same way as in previous years. Building on the previous portions of the geriatrics curriculum, residents will develop additional skills in serving a geriatric population. Residents will gain further understanding of the special needs of this population and how the Patient Centered Primary Care Home can be tool which maximizes the health of seniors.

Fourth Year (PGY4)

Family Medicine Inpatient Service 1 block 3 1/2-days of clinic/week
Night Team 2 blocks 4 1/2-days of clinic/week
Adolescent & Community Resource 1 block 5 1/2-days of clinic/week
Elective (may be out of state) 1 block 3 1/2-day of clinic/week
Population & Systems Management 1 block 5 1/2-days of clinic/week
Clinical Enterprise Leadership 1 block 5 1/2-days of clinic/week
Developmental Pediatrics 1 block 5 1/2-days of clinic/week
Areas of Concentration 4 blocks 5 1/2-days of clinic/week
Capstone Project 4 weeks 5 1/2-days of clinic/week
Population Management Longitudinal Curriculum    
Leadership Longitudinal Curriculum
 

Family Medicine Inpatient Service

Fourth-year residents will function as leaders of clinical teams while supervising an intern and a sub intern on one of our family medicine inpatient teams.In addition, they will be responsible for quality improvement efforts and the transitions of care curriculum for the inpatient teams.

Night Team 2 Blocks

Fourth-year residents will cover the inpatient services in teams of two.This will be 2-3 nights per week. They will be available for regular clinical care and focus on hospital follow up visits either in the office or on home/rehab center visits.

Adolescent & Community Resource

This rotation will focus on adolescents as a particularly vulnerable population which requires a different skill set from the physician and an understanding how community resource differ for this population as compared to adults and the pediatric population.

Elective (may be out of state)

Electives offer residents the opportunity to further modify their residency experience and to address areas of interest or deficiency outside of their area of concentration.

Population & Systems Management

In addition to the longitudinal curriculum on population management, this rotation will focus on putting those skills to work in the resident's Family Health Center and in the community.

Clinical Enterprise Leadership

Building on the longitudinal curriculum on leadership, this rotation will require the resident to demonstrate leadership of a team within the Family Health Center.

Developmental Pediatrics

Residents will spend this rotation gaining a deeper understanding of abnormal pediatric development and how the Patient Centered Primary Care Home can work with community resources and medical specialists to provide optimum care to families with special needs children.

Areas of Concentration 4 Blocks

These are modifiable blocks of time that unlike electives are meant to have a particular focus that will be sustained over the last 2 years of the residency. This time is also to be used in making progress on capstone projects.

Capstone Project

These are one to two week blocks throughout the year. In the fourth year these are to be used to insure timely completion of the resident's capstone project. The Capstone project itself is a long term project that will culminate in an outcome that can be generalized to Family Medicine beyond the walls of our clinics and department. Examples might be a research publication, a quality improvement project or a degree/certificate thesis.

Population Management Longitudinal Curriculum

This longitudinal block is structured in the same way as in previous years.Residents will develop an understanding of the unique skills and knowledge required to care for a community and how this fits in with leadership, the Patient Centered Primary Care Home and information management.

Leadership Longitudinal Curriculum

This longitudinal block is structured in the same way as in previous years. Residents will build on leadership skills gained from the first leadership longitudinal and the subsequent years. They will also be very involved in the teaching of leadership to residents in earlier years.